The Turd Nerds

Tune in with the doctors to tear apart a constipation case. In this episode we cover: - How to define constipation - Breaking down the Bristol chart - The many uses of psyllium - Gut directed hypnotherapy - When peppermint can help - How breathing affects pooping - Squatty Potties Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.openwellnesspdx.com Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠

GERD, Heartburn and Acid Reflux. What can be done for these ailments from a more natural perspective? Tune in to this episode to hear your favorite Turds discuss their favorite options. We will cover pills, teas, tinctures and get into a deep discussion on what each of our top products do in the gut! Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.openwellnesspdx.com Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠

This case discussion the doctors focuses on a 74-year-old female patient with a 50-year history of constipation and uncontrollable gas. Despite trying various treatments, including medications and dietary changes, the gas issue persisted. Dr. Gurevich discusses how she treated the patient and the many attempts at resolving her chronic issue. The case highlights the complexity of such a simple symptom. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠ ⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠

In this episode of Turd Nerds, the hosts delve into various dietary frameworks, focusing on the importance of fiber types, therapeutic diets like Low FODMAP and Whole30, and the implications of the Keto diet. They discuss the roles of soluble and insoluble fiber in gastrointestinal health, the effectiveness and challenges of different diets, and the significance of understanding individual dietary needs for optimal health. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

In this episode of the Turd Nerds podcast, the hosts delve into the complexities of diet and nutrition, emphasizing the importance of individualized dietary approaches. They discuss the significance of meal spacing, the role of healthy fats in mitochondrial function, and the benefits of adequate protein intake. The conversation also touches on the relationship individuals have with food and how it impacts their dietary choices. Throughout the episode, the hosts share personal anecdotes and clinical experiences, providing listeners with practical insights into improving their dietary habits for better health outcomes. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

Dr's Sand, Kapadia and Gurevich discuss Bile Acid Malabsorption, also known as BAM. In this episode Dr. Gurevich leads us in a discussion of BAM. Topics covered: symptoms and testing for BAM, utilization of testing for fecal fat and steatocrit, treatment of BAM, use of cholestyramine and other prescription/natural agents, treatment of underlying triggers of BAM, association with crohns, IBD, IBS, SIBO 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠ ⁠⁠⁠@drrebeccasand⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠ ⁠⁠⁠@openwellness_pdx⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠

Dr's Sand, Kapadia and Gurevich discuss Exocrine Pancreatic Insufficiency or EPI. Dr. Gurevich leads the discussion on this often overlooked condition:  Topics covered in this episode: Exocrine Pancreatic Insufficiency (EPI) definitions, testing, elastase marker, associations with other conditions such as celiac disease and inflammatory bowel disease, treatment with pancreatic enzymes. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠ ⁠⁠⁠@drrebeccasand⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠ ⁠⁠⁠@openwellness_pdx⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠

Dr. Sand leads us into an information deep dive into the world of constipation and especially constipation drugs.   Covered in this episode is diet and lifestyle changes to improve constipation as well as fiber, prebiotics and probiotics.   Drugs for IBS-C and for chronic idiopathic constipation.  Prokinetic drugs, antidepressant medications for constipation, secretagogues, opioid receptor agonist and macrolide antibiotic.  We also discuss serotonin and dopamine antagonist drugs.  Laxatives are discussed and differentiated as well. This includes over the counter  laxatives, stimulant laxatives, osmotic laxatives, and bulk forming laxatives.  We looking at constipation lubricants, Finally there is a discussion on herbal interventions for constipation. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

Diverticulitis is the main topic of discussion in this conversation. The doctors discuss the conventional treatment options for diverticulitis, including antibiotics and a liquid diet. They also explore naturopathic and functional medicine approaches to prevention and treatment, such as herbal remedies, probiotics, and lifestyle changes. The importance of preventing constipation, staying hydrated, and getting regular exercise is emphasized. Other factors, such as stress and microbiome imbalances, are also discussed as potential contributors to diverticulitis. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠ ⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠

In this episode, Dr. Gurevich leads a discusses about basics of H. pylori and the controversy surrounding its treatment. They discuss that H. pylori is a common finding in functional stool tests and discusses the different ways to test for it, including stool and breath tests. Dr. Gurevich also explores the different treatment options, including conventional triple and quadruple therapy, as well as naturopathic approaches using biofilm disruptors, herbal interventions, and probiotics. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠ ⁠⁠⁠@drrebeccasand⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠ ⁠⁠⁠@openwellness_pdx⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠

In this episode, the Turd Nerds discuss halitosis (bad breath) and its various causes. The doctors cover topics such as gum disease, sinus issues, tonsil stones, reflux, and gut dysbiosis. They provide tips and strategies for improving oral hygiene, including the use of a water pick, oil pulling, and oral probiotics and many more. Tune in to keep your learning going. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠ ⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠

Clinical Case Perspective In this conversation, the Turd Nerds discuss a complex case of a patient with microscopic colitis and multiple gastrointestinal issues. The patient had a history of diarrhea and had been on long-term pharmaceutical management, which was not providing relief. The Turd Nerds explored various treatment options, including anti-parasitic medications, bile acid sequestrants, and biofilm treatment. They also discussed the challenges of diagnosing and treating microscopic colitis. The case highlighted the importance of considering multiple factors, such as dysbiosis, inflammation, and malabsorption, in complex gastrointestinal cases. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠ ⁠⁠@drrebeccasand⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠https://www.openwellnesspdx.com⁠⁠ ⁠⁠@openwellness_pdx⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠

In this episode, the Turd Nerds discuss the complications that can arise after gallbladder removal. They explain the normal physiology of the gallbladder and how it functions to break down fat. They also discuss the common issues that can occur after gallbladder removal, such as bile acid malabsorption and bile acid diarrhea. The Turd Nerds provide treatment options, including the use of bile acid sequestrants and high-dose fiber. They also emphasize the importance of supporting the microbiome and addressing underlying factors such as diet and lifestyle. 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠ ⁠⁠@drrebeccasand⁠⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠⁠https://www.openwellnesspdx.com⁠⁠ ⁠⁠@openwellness_pdx⁠⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠

Don't miss this one! Join the IBD expert, Dr. Gurevich, as we cover: How to diagnose MC vs other types of colitis The main conventional approach Other treatments you should know The microbiome impact 👋 Connect with the Turds! Rebecca Sand ND, LAc, MSOM ⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠ ⁠@drrebeccasand⁠ Ilana Gurevich ND, FABNG, LAc, MSOM ⁠⁠https://www.openwellnesspdx.com⁠ ⁠@openwellness_pdx⁠ Ami Kapadia, MD, ABFM, ABIHM ⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠

As promised, the Turds are back to now discuss some key elements to liver support. They cover: Key diet shifts Top shelf nutrients and herbs Reducing toxin exposure "The solution to pollution is dilution" Other lifestyle add-ins that can make a big difference! Plus: Dr. Sand's love for chocolate Dr. Gurevich's existential parenting crisis Dr. Kapadia's gross "healthy" cookie Connect with the Turds! Rebecca Sand ND, LAc, MSOM https://www.drrebeccasand.com/ @drrebeccasand Ilana Gurevich ND, FABNG, LAc, MSOM https://www.openwellnesspdx.com @openwellness_pdx Ami Kapadia, MD, ABFM, ABIHM https://www.amikapadia.com/

In this episode we cover: Which Turd has the most recognizable voice? Elevated bilirubin Abnormal workups and algorithms  When to order GGT and alk phos isoenzymes? Jaundice Metabolic liver disease Liver toxicants  Gilbert's... pronounced 3 ways! Connect with the Turds! Rebecca Sand ND, LAc, MSOM https://www.drrebeccasand.com/ @drrebeccasand Ilana Gurevich ND, FABNG, LAc, MSOM https://www.openwellnesspdx.com @openwellness_pdx Ami Kapadia, MD, ABFM, ABIHM https://www.amikapadia.com/

In this episode Dr. Sand leads us on a conversation about how three popular classes of antidepressant medications affect our gastrointestinal tract! SSRIs, TCAs, and SNRIs. This has definitely changed how we view the guts of these patients and may change your mind on how we're using them! Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.openwellnesspdx.com Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠

Dive in to a chronic vulvovaginal GI case with Dr. Gurevich to peak under the lens of how a doctor thinks. In this episode we will discuss: - Vaginal and gut microbiome overlap -MCAS and bloating - Understanding candida blood testing - Comparing sinus, vaginal and GI microbiome - Diet and dysbiosis -Dietary guidelines and the natural medicine community - Fermented food and dysbiosis - Mycoplasma and ureaplasma as a diagnosis of vulvovaginal disorders

Join us as we discuss the multiple ways we think about reflux, the prescriptions we use to treat it, and lifestyle changes that will help your patients suffering from these symptoms. Ilana Gurevich ND, FABNG, LAc, MSOM - ⁠https://www.openwellnesspdx.com Rebecca Sand ND, LAc, MSOM - ⁠⁠https://www.drrebeccasand.com/⁠⁠ Ami Kapadia, MD, ABFM, ABIHM - ⁠⁠https://www.amikapadia.com/⁠⁠

Tune in to listen to how the doctors think through a complicated nausea patient. We will discuss: - Marijuana and vomiting syndrome - Cannabinoid hyperemesis - SIBO and nausea - Gastroparesis and nausea - Neural therapy as a potential treatment - Hiatal hernia syndrome - Visceral massage as a treatment option - Blood sugar and nausea - Microbiome and chronic nausea